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With a new president and Congress, the health care gains made throughout the last six years face their greatest threat yet. Congress has voted more than 60 times to roll back the historic progress that has been made to expand health coverage to millions of people in this country and to improve coverage for those who already had it. These proposed changes will put the health—and lives—of countless Louisianans at risk. Here’s what Louisiana stands to lose if the new president and Congress move forward to upend our health care system:

It’s been only two months since the Louisiana Medicaid expansion—dubbed Healthy Louisiana—went into effect, and already Louisianans are reaping the benefits.

New data show that Medicaid expansion has helped over 305,000 Bayou State residents get health coverage. But coverage through Healthy Louisiana means more than just an insurance card. New enrollees are using their coverage to get vital preventive care and treatment.

Beginning July 1, Louisiana will provide health coverage to more than 225,900 low-income adults after only one month of enrolling people in the state’s new Healthy Louisiana program. It is a remarkable success for the first state in the Deep South to embrace Medicaid expansion.

Legislative sessions during an election year are historically shorter, more budget-oriented and less controversial than other years. But as the Obama administration enters its final year, the Affordable Care Act and the tools it provides for increasing health coverage are on the agenda as state lawmakers return to the capitol this month.